Chia-Wei Fan, Renée R. Taylor; Assessing Therapeutic Communication During Rehabilitation: The Clinical Assessment of Modes. Am J Occup Ther 2016;70(4):7004280010. https://doi.org/10.5014/ajot.2016.018846
Download citation file:
© 2021 American Occupational Therapy Association
OBJECTIVE. This study applied Rasch analysis to test four versions of the Clinical Assessment of Modes (CAM), an assessment based on Taylor’s Intentional Relationship Model: CAM–P, which assesses clients’ pretreatment preferences; CAM–E, clients’ treatment experience; CAM–T, therapists’ self-reported perspective; and CAM–O, an observer rating scale.
METHOD. The CAM–P was administered to 63 inpatients. The CAM–E was administered to 110 inpatients and outpatients. Trained raters rated therapists’ modes with 59 inpatients and outpatients on the CAM–O. The CAM–T was administered to 38 therapists. Analyses of reliability and validity were conducted.
RESULTS. The CAM demonstrated adequate construct validity. All versions showed acceptable internal consistency and unidimensionality within each of the subscales. Disorder between the 5 points on the ordinal rating scale was found for the client measures (CAM–P, CAM–E) and was resolved by modifying the ratings to encompass a 4-point scale.
CONCLUSION. The four CAM versions are reliable and valid measures of therapeutic communication in rehabilitation.
Each rating category should have more than 10 clients.
Average measures of each rating category should advance monotonically.
The outfit mean square (MnSq) fit statistic should be less than 2.
Four-step calibrations should increase within the five CAM rating categories.
The IRM (Taylor, 2008) provides a structured guide for understanding occupational therapy clients from an interpersonal perspective. Moreover, it articulates a reasoning process that provides practitioners with a means of selecting and applying six modes to anticipate and respond to challenging or emotional situations that inevitably arise during the therapy process. These modes are oriented toward advocating, collaborating, empathizing, encouraging, instructing, and problem solving.
This study used the Rasch model to analyze the psychometric properties of a four-version communication assessment, the CAM, which provides a means of assessing therapists’ mode use and clients’ preferences for and experience with certain communication modes based on the IRM (Taylor, 2008).The four versions of the CAM provide a reliable and valid assessment of client–therapist communication for use in real-time clinical practice and educational contexts.
This PDF is available to Subscribers Only
For full access to this pdf, sign in to an existing account, or purchase an annual subscription.